Impotence, or what doctors prefer to call, erectile dysfunction is a common problem, affecting approximately to 20% of the males (1 of every 5).

Erectile dysfunction can be a signal of heart disease. It is a problem that can occur at any age but it is most frequent starting at age 40.

Human sexuality is a fundamental aspect of life and sexuality problems can seriouslyaffect professional relationships and partner.

This article about the impotence or erectile dysfunction is written by Dr. Luis Rodríguez-Vela, Director of the Institute of urology and Sexual Medicine and Professor ofUrology, University of Zaragoza. In 1992, he made a Fellow (master) at Boston University (USA) and one year had the opportunity to train in all aspects of sexuality andmale infertility. Since then he has visited, diagnosed and treated thousands of menwith erectile dysfunction.
See Institute uroandrologico

Table of contents
What is erectile dysfunction?
Is erectile dysfunction very common?
What cause is erectile dysfunction?
Can erectile dysfunction be a reflection of some important disease?
Where do I go?
What studies are carried out to diagnose?
What treatments are there?
How oral drugs?
Are drugs for erectile dysfunction safe?
Does the gel and the muse intraurethral?
How does the injection?
How are penile prostheses?
You can erectile dysfunction be cured?
Tips for patients with erectile dysfunction
What is erectile dysfunction?

Erectile dysfunction is the inability to maintain an erection rigid enough to allow a satisfactory sexual relationship.

The first description of impotence has been found in Egyptian papyri from the year2000 BC. Later, Hippocrates described many cases of male impotence in rich men and concluded that the cause was due to an excess of ride horse.

Is erectile dysfunction very common?

All men may have trouble achieving erections at some point in their lives, according to ed reverser max miller especially when they are tired, suffer stress, are under the influence of alcohol or suffer from aserious illness.

In our country, 19% of men between 25 and 70 have problems for erection. This means that more than two million Spaniards have impotence.
The frequency of erectile dysfunction increases with age and affects 14 percent of men 40 to 49 years, 25% of men from 50 to 59 and 49% of 60 to 69 years.

Men with diabetes, hypertension, smoking, etc. They frequently suffer from erectionproblems.

What cause is erectile dysfunction?

The penis consists of two columns of erectile tissue that are called corpora cavernosa (produce the erection) and a canal (urethra) where the urine comes out. (Figure 1).During erection, this erectile tissue is filled with blood, the penis increases in size and becomes rigid.

Figure 1. Anatomy of the penis

Anatomy of the penis
There are cavities which are called sinusoids in the corpora cavernosa and flaccidityare empty. When the erection, comes great amount of blood to the corpora cavernosa and these sinusoids are relaxed and stored blood. An appropriate entry and storage of blood produces increasing the size and the rigidity of the penis. (Figure 2). Ifthe blood does not fit properly, or escapes from the sinusoids, then occurs a difficulty to achieve and/or maintain rigidity.

Figure 2. The erection is produced

Physiology of erection
The erection is a vascular and neurological phenomenon. Pro-erectiles stimuli and inhibitory stimuli arrive to the brain. The brain processes the information and transmits orders to the penis through the spinal cord and the nerves erector. Any disease or disorder that affects the brain, spinal cord, nerves erector and pudendos can causeimpotence.
Erectile dysfunction can be organic (physical origin) or psychological (psychologicalorigin). However, many patients with erectile dysfunction organic origin adds a psychological component (performance anxiety) that aggravates it.